Incivility and disrespect as a workplace hazard: a new framework from occupational health and safety
Bibliographic record
Abstract
Disrespectful behaviour of physicians is increasingly recognized as a significant problem in health care, contributing to a dysfunctional culture, decreased staff well-being, and compromised patient safety. Regulatory approaches frequently focus on individual actions or conduct, treating such behaviour as isolated issues rather than hazards in the workplace. Such approaches are long and slow and fail to address the broader systemic impacts of incivility and disrespect. We advocate reframing incivility and disrespectful behaviours as workplace hazards, drawing heavily from the workplace-specific principles of occupational health and safety (OHS). This approach would encompass accurate detection of harmful behaviours; root cause analyses of workplace conditions that perpetuate incivility; and a hierarchy of interventions.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.012 | 0.008 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.010 | 0.004 |
| Science and technology studies | 0.007 | 0.059 |
| Scholarly communication | 0.012 | 0.011 |
| Open science | 0.005 | 0.011 |
| Research integrity | 0.007 | 0.009 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".